Report Oregon Residential Specialty Code R408.1
MOISTURE BARRIER ACKNOWLEDGEMENT FORM
I, -r L012 t 0- 1 , am the general contractor or the owner-builder
at the following address:
Site Address: I t ett I ty, IbikfitA) l,J Love
City: —1-161
Permit#: HST 202 1 — C035'
Subdivision/Lot#: LD7 Z I b
and/or
Map and Tax Lot#:
To conform with the 2014 Oregon Residential Specialty Code (ORSC), Section R408.1
Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per
Requirement in ORSC Section 408.1 and have taken the following steps to meet this code
requirement:
The ground surface of the under-floor space is covered with 6-mil black polyethylene
sheeting with
Joints lapped 12"at seams and
ending up the foundation walls 12".
! j /S�ZZ
Signature: Date:
General ontr or or Owner-Builder
I:\Building\Porm\RES-MoistureHarrier.doc 09/13/2016
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 1-AA/Lb 12 M erftki str , am the general contractor or the owner-builder
at the following address:
Site Address: i Lg.CJ(id ci ) , ) AJ L�
City: —Ts (1 ) d�' r_�
Permit#: M'r2-02I — DD SD `S
Subdivision/Lot#: "R Lo-r 21 D
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and
OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes,the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: L•/ Date: /512-2"
General Contracta or Owner-Builder
1:1Building\Form\RES-MoistureSensidveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: t1cZo2 — 6050S Jurisdiction: .� t
Site Address: 1 to 5-LQ ( Sil is ei)4 , r ()
Subdivision/Lot#: `RDs+l1 dt.„ LDT- 21 0 1'
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of fifty(50)percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N11O7.2)1
Signature: /� Date: 1 �' 22-
wner/Generalikan prized Agent
Print Name:
jd-0 it Liu
4
ORSC Section N1107.2.High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
1:16ui ding�Forms\RES-HighEfficiencyLighting.doc 07/01/O8
Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Family L,. gyTru "
To be completed by Verifier
j of Oregon
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
Payment Information
Incentive Payee Company Name: "Polygon Northwest-WA Its this payment redirected?: INo
Bulkier or Company: Polygon Northwest-WA Redirect to Name:
Verifier Payee Company Name Performance Insulation and Energy Redirect Payee Corn
Affordable Housing No
Solar Ready Builder Incentive: No (Solar ReadyVereier Inc4No
Site Information
Development: fit 4 EASTRIDGE II f4ED "Lot 1210 1 Axis ID:
(REM/Ra[ePp ID:
Address: 18561 SW PAR WIN LP
Street Line 2 Multi-Family INo City: TIGARD State: OREGOI Zip: 97224
Total conditioned area(sq.B.): 3,150 House Volume: I 31,500 Housing Type: Detached single family
Number of Stories: 13 Number of Bedrooms: 5 Foundation Type: Crawlspece
Electric Provider: Portland General Electric Gas Provider: NW Natural Gas
Solar installed None Solar Installer Name/Company
Blue shaded fields are required for EPS sheet
Verification Type Actual Model Equipment Details&Notes
Slab Perimeter Insulation R- 0.0 Slab Under Insulation R-
Insulation Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows Windows U- 0.3 SHGC:10.3 Total window area: 1470
Cooling Air Conditioning SEER: 0 Model a'.
Primary Heating System Details AFUE: 95 Brand Lennox
Type: Gas Furnace HSPF: Model 4: ML196UH070XE36B52
Primary Neat Heating Fuel: Gas SEER:
Source Comment: COP:
Location: Attic Outdoor Unit(for heat pumps)
ECM: No Model it: I
AHRI Certificate:4605339 6 of Systems 11
Gallons: I Brand: AOSmitln
Water Heater Type Storage EF:
I Model d: HPTU$ON 130
Water Heating Fuel Gas
Location: (Garage or ope
Ducts and Duct Location 'Partial 3k ducts inside: Duel Leakage(CFM)@ 50Pa: 1204 '` I?;"
Testing
Infiltration Air Changes per Hour(ACH)@ 50Pa: 2.86 I
•
Ventilation Ventilation Type HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why unlestable? 'Root Termination
Applfencbc.. _
Refrigerator kWNyr Model: —
ENERGY STAR Diswasher kwbyr Model: GDF510PSR3SS
Percent High Efficacy Interior Lighting(A) Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH [ Showerhead 1.6 GPH I IShowerhead 1.75 GPH I
Notes: